Hostname: page-component-6766d58669-r8qmj Total loading time: 0 Render date: 2026-05-16T19:29:21.745Z Has data issue: false hasContentIssue false
  • English
  • Français

Infratemporal hydatid cyst: a case presenting with blindness

Published online by Cambridge University Press:  27 November 2009

N Yazdani ,
A Basam ,
M Heidarali ,
S Sharif Kashani ,
M Hasibi  and
Z Mokhtari
N Yazdani*
Affiliation:
Otorhinolaryngology Research Centre, Amir-Alam Hospital, Tehran University of Medical Sciences, Iran
A Basam
Affiliation:
Otorhinolaryngology Research Centre, Amir-Alam Hospital, Tehran University of Medical Sciences, Iran
M Heidarali
Affiliation:
Otorhinolaryngology Research Centre, Amir-Alam Hospital, Tehran University of Medical Sciences, Iran
S Sharif Kashani
Affiliation:
Otorhinolaryngology Research Centre, Amir-Alam Hospital, Tehran University of Medical Sciences, Iran Department of Radiology, Amir-Alam Hospital, Tehran University of Medical Sciences, Iran
M Hasibi
Affiliation:
Department of Infectious Diseases, Amir-Alam Hospital, Tehran University of Medical Sciences, Iran
Z Mokhtari
Affiliation:
Otorhinolaryngology Research Centre, Amir-Alam Hospital, Tehran University of Medical Sciences, Iran
*
Address for correspondence: Dr S Sharif Kashani, Radiology Department, Amir-Alam Hospital, Tehran University of Medical Sciences, Sadi St, Enghelab Ave, Tehran, Iran Fax: 00982166704805 E-mail: Sh_Sh_md_rad@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We report a very rare case of a hydatid cyst in the infratemporal fossa, causing visual loss over a 10-day period, which disappeared with rapid surgical and medical treatment.

Case report:

A 14-year-old girl presented with right exophthalmos and visual loss. Over a 10-day period, her visual acuity had decreased to detection of hand motion only, due to pressure on the optic nerve caused by a parapharyngeal cyst pressing through a inferior orbital fissure on the right side. A craniotomy had previously been performed for a right frontoparietal hydatid cyst. The patient had been treated intermittently with albendazole. The patient was primarily diagnosed with hydatid cyst, on the basis of her previous medical history and radiological findings, and underwent surgery. Three cysts were carefully removed from the right maxillary sinus, via a standard Caldwell–Luc approach, and the surgical area was irrigated with hypertonic saline.

Conclusion:

Infratemporal hydatidosis is very rarely reported in the world literature, although hydatid cysts are endemic in many countries, including Iran. We discuss the common presenting features, investigation and treatment options for infratemporal hydatosis. Constant evaluation of adjacent organs is necessary, with treatment as required, due to the propensity of hydatidosis to recur in essential organs. Immediate surgery is recommended, both to prevent the development of disease and to improve the prognosis.

Keywords

Hydatid CystsEchinococcus GranulosusInfratemporal Fossa

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 4 , April 2010 , pp. 456 - 459
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1 Gangopadhyay, K, Abuzeid, MO, Kfoury, H. Hydatid cyst of the pterygopalatine-infratemporal fossa. J Laryngol Otol 1996;110:978–80CrossRefGoogle ScholarPubMed
2 Hotz, MA, Gottstein, B. Cystic echinococcosis of the parapharyngeal space: case report with a 20-year follow-up. J Oral Maxillofac Surg 1999;57:80–3CrossRefGoogle ScholarPubMed
3 Turgut, S, Ensari, S, Katirci, H, Çelikkanat, S. Rare otolaryngologic presentation of hydatid cyst. Otolaryngol Head Neck Surg 1997;117:418–21CrossRefGoogle ScholarPubMed
4 Bouckaert, MM, Raubenheimer, EJ, Jacobs, FJ. Maxillofacial hydatid cysts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:338–42CrossRefGoogle ScholarPubMed
5 Amr, SS, Amr, ZS, Jitawi, S, Annab, H. Hydatosis in Jordan: an epidemiological study of 306 cases. Ann Trop Med Parasitol 1994;88:623–7CrossRefGoogle Scholar
6 Akyildiz, AN, Ozbilen, MS, Goksu, N. Hydatid cyst of the pterygopalatine fossa. J Oral Maxillofac Surg 1991;49:87–8CrossRefGoogle ScholarPubMed
7 Sennaroglu, L, Önerci, M, Turan, E, Sungur, A. Infratemporal hydatid cyst – unusual location of echinococcosis. J Laryngol Otol 1994;108:601–3CrossRefGoogle ScholarPubMed
8 Zaidi, M. An unusual case of orbital hydatid cyst: a surgical emergency. Ann Plast Surg 1999;42:327–9CrossRefGoogle ScholarPubMed
9 Kalovidouris, A, Gouliamos, A, Andreou, I, Ioannovits, I, Levett, J, Vlahos, I et al. Primary hydatid disease of the infratemporal fossa and the parotid gland. Radiologe 1985;25:235–6Google ScholarPubMed
10 Sener, NR. Hydatid cyst in the infratemporal fossa. MRI demonstration. Clin Imaging 1994;18:213–15CrossRefGoogle ScholarPubMed
11 Shuker, S. Hydatid cyst in the maxillofacial region. J Oral Maxillofac Surg 1982;40:171–4CrossRefGoogle ScholarPubMed
12 Mortazavi, SH, Motamedi, MH. Primary cyst of the maxillary sinus: case report. Gen Dent 2008;56:444–6Google ScholarPubMed
13 Rudwan, MA, Khaftaji, S. CT of cerebral hydatid disease. Neuroradiology 1988;30:496–9CrossRefGoogle ScholarPubMed
14 Sharma, SC, Ray, RC. Primary hydatid disease of the brain in adult: report of a case. Neurosurgery 1988;23:374–6CrossRefGoogle ScholarPubMed
15 Onerci Turan, E, Ruacan, S. Submandibular hydatid cyst: a case report. J Craniomaxillofac Surg 1991;19:359–61CrossRefGoogle Scholar
16 Schipper, HG, Kager, PA. Diagnosis and treatment of unilocular hydatid disease (Echinococcus granulosus infection) [in Dutch]. Ned Tijdschr Geneesk 1997;141:984–9Google Scholar
17 Dogăn, R, Yüksel, M, Cetin, G, Süzer, K, Alp, M, Kaya, S et al. Surgical treatment of hydatid cysts of the lung: report on 1055 patients. Thorax 1989;44:192–9CrossRefGoogle ScholarPubMed
18 Bret, PM, Fond, A, Bretagnolle, M, Valette, PJ, Thiesse, P, Lambert, R et al. Percutaneous aspiration and drainage of hydatid cysts in the liver. Radiology 1988;168:617–20CrossRefGoogle ScholarPubMed